The nurse is caring for a postoperative patient and notes that ...

[karlynnae]

The nurse is caring for a postoperative patient and notes that the patient received atropine sulfate preoperatively. Which assessment finding would prompt the nurse to notify the provider?
 
  a. Absent bowel sounds
  b. Drowsiness
  c. Dry mouth
  d. Heart rate of 78 beats per minute

Question 2

The nurse is preparing to administer bethanechol (Urecholine) to a patient who is experiencing urinary retention. The nurse notes that the patient has a blood pressure of 90/60 mm Hg and a heart rate of 98 beats per minute.
 
  The nurse will perform which action?
  a. Administer the drug and monitor urine output.
  b. Administer the medication and monitor vital signs frequently.
  c. Give the medication and notify the provider of the increased heart rate.
  d. Hold the medication and notify the provider of the decreased blood pressure.

[kjohnson]

Answer to Question 1

ANS: A
These are all side effects of atropine. Absent bowel sounds can indicate a paralytic ileus. The other side effects are not harmful.

Answer to Question 2

ANS: D
Side effects of this medication are a decrease in the pulse rate and vasodilation, which can exacerbate bradycardia and hypotension. The nurse should hold the drug and notify the provider.

[karlynnae]

Excellent

[peter]

Thanks for the timely response, appreciate it